Classification of Joints Chapter 8 Joints of the Skeletal System • Fibrous Joints • dense connective tissues connect bones • between bones in close contact • Articulations • Functional junctions between bones • Bind parts of skeletal system together • Make bone growth possible • Permit parts of the skeleton to change shape during childbirth • Enable body to move in response to skeletal muscle contraction • Cartilaginous Joints • hyaline cartilage or fibrocartilage connect bones 1 Fibrous Joints • Held together by dense connective tissue • Interosseous membrane • Interosseous ligament • immovable • amphiarthrotic • slightly movable • diarthrotic • freely movable • Synovial Joints • most complex • allow free movement 2 Fibrous Joints 3 Types • Syndesmosis • Suture • Gomphosis Syndesmosis • a sheet or bundle of fibrous tissue connects bones • amphiarthrotic • lies between tibia and fibula • synarthrotic Suture • between flat bones • synarthrotic • thin layer of connective tissue connects bones Gomphosis • cone-shaped bony process in a socket • tooth in jawbone • synarthrotic 3 4 1 Cartilaginous Joints • Connected by hyaline cartilage or fibrocartilage Cartilaginous Joints 2 Types • Synchondrosis • Symphysis Symphysis • pad of fibrocartilage between bones • pubis symphysis • joint between bodies of adjacent vertebrae • amphiarthrotic Synchondrosis • bands of hyaline cartilage unite bones • epiphyseal plate (temporary) • between manubrium and first rib • synarthrotic 5 6 General structure of a synovial joints Synovial Joints • Articular cartilage • Joint (articular) capsule • Outer layer • ligaments • Inner layer - synovial membrane • synovial cavity • synovial fluidlubricates and protects joint • Menisci-pad of cartilage • bursae-fluid filled sac • Most common type of joint • diarthrotic • More complex structurally 7 8 2 Types of Synovial Joints Ball-and-Socket Joint Types of Synovial Joints Condyloid Joint • hip • shoulder • Allow the greatest degree of movement • between metacarpals and phalanges Gliding Joint • between carpals • between tarsals Hinge Joint • elbow • between phalanges 9 Types of Synovial Joints Pivot Joint • between proximal ends of radius and ulna 10 Types of Joint Movements Saddle Joint • between carpal and metacarpal of thumb 11 • abduction/adduction-moving away from midline/moving toward the midline of the body • dorsiflexion/plantarflexion-moving toes toward shin/pointing toes down • flexion/extension/hyperextensiondecreasing the angle between two bones/increasing the angle between two bones/extending the joint past the anatomical position 12 3 Types of Joint Movements Types of Joint Movements • eversion/inversion-rotating toes inward/rotating toes outward • protraction/retraction-moving a structure anteriorly/moving a structure posteriorly • elevation/depression-moving a structure superiorly/moving a structure inferiorly • rotation/circumduction-rotating around a point/moving a structure in a circle • supination/pronation-rotating a structure laterally/rotating a structure medially 13 Clinical Application Life-Span Changes • Fontanels close at 2, 3, 12, 18 - 24 months • Fibrous joints strength with age • Joint stiffness is an early sign of aging • Fibrous joints first to change; can strengthen over a lifetime • Changes in symphysis joints of vertebral column diminish flexibility and decrease height • Synovial joints lose elasticity • Disuse hampers the blood supply • Activity and exercise can keep joints functional longer 14 Joint Disorders Sprains • damage to cartilage, ligaments, or tendons associated with joints • forceful twisting of joint Bursitis • inflammation of a bursa • overuse of a joint Arthritis • inflamed, swollen, painful joints 15 • Rheumatoid Arthritis • Osteoarthritis • Gout 16 4 Clinical Application Joint Disorders Dislocations • bones in a joint are displaced from their normal position Torn Cartilage • meniscus tares 17 5
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